5. 1 Purple Cow 2012 Benefits ACCIDENT 2. ACCIDENT INSURANCE a. Accidental Death * Murder b. Accidental Disablement * Assault HEALTH 3. MEDICAL HMO * 19,401 MD, 382 hospitals, 426 clinics 4. Opt. DENTAL HMO * Basic 10: 790 dentists, 659 clinics 5. Opt. Annual Physical Exam * Basic 5: mobile or clinic 6. Health & Wellness Program * up to 2x/yr; tailored to utilization report LIFE 1. LIFE INSURANCE * Terminal Illness Rider * Total & Perm Disability Income LIFE â ACCIDENT â HEALTH Benefits Overview
6. 2 Purple Cow 2012 Benefits 18. Pooled Employee utilization 6. Accidental Disablement = __% of 5x MBL 13. Access to Big 5 Hospitals & Healthway 1. Life = 5x MBL 23. Same benefits for Dependents 11. HMO patient for no-cash-out 24. Interactive access through Social Media 12. Private patient for reimbursement (HMO rate) 14. 100% Pre-Existing Conditions coverage 2. Terminal Illness = up to 50% of 5x MBL 20. Opt. Dental = HMO buffet of benefits 8. Medical = HMO buffet of benefits 22. Health & Wellness Program (up to 2x/yr) 21. Opt. APE = choice of mobile or clinic 19. Separate Dependent utilization 17. Benefits on top of Philhealth 16. 100% Special Procedures coverage 15. 100% Congenital Conditions coverage 10. Max. Benefit Limits per disability per year 9. Combined inpatient & outpatient limits 7. Assault = __% of 5x MBL 5. Murder = 5x MBL 4. Accidental Death = 5x MBL 3. Total & Perm. Disability Income = 5x MBL LIFE â ACCIDENT â HEALTH Benefits Summary
7. 3 Purple Cow 2012 Benefits 5x MBL 1. Suicide within the 1 st year of coverage 3. Total & Perm Disability Income Example : If MBL = 20T, Life or TPDI = 100,000; TIR = 50,000; If MBL = 40T, Life or TPDI = 200,000; TIR = 100,000; If MBL = 60T, Life or TPDI = 300,000; TIR = 150,000; If MBL = 80T, Life or TPDI = 400,000; TIR = 200,000; If MBL = 100T, Life or TPDI = 500,000; TIR = 250,000. 5x MBL 1. Life Life benefits are payable on top of Accident & Medical HMO benefits 2.5x MBL EXCLUSIONS +Principals 18yo-65yo; Dependents 30dy-22yo / 18yo-65yo 1. Life benefit = 5x MBL, for death by any cause; 2. TIR benefit = up to 50% of 5x MBL, as an advance on the Life benefit, if terminally ill (< 12mos. to live); 50% balance upon death; 3. TPDI Benefit = 5x MBL, in lieu of the Life benefit, whether sickness or accident. 2. Terminal Illness Rider (up to 50%) ASIANLIFE 1. Life Insurance (worldwide)
8. 3 Major Employee Benefits in 1 Plan: You get Group Life, Accident & Health (medical HMO, optional dental HMO, optional APE, and Wellness) â all in 1 plan. (Unlike most HMO plans) You get all the Employee Benefits you will ever need 3 Why Purple Cow? Purple Cow 2012 Competitive Advantages
9. Life Insurance : Your Life benefit covers death by any cause, including suicide after 1 year. For example: Ward 20T = 100T; Semi 40T = 200T. (Unlike all HMO plans) 12 Life = 5x MBL: 1 yearâs worth of income replacement Why Purple Cow? Purple Cow 2012 Competitive Advantages
10. Terminal Illness Rider: Your TIR benefit is a 50% advance on your Life benefit, payable if you have < 12 mos. to live (50% balance payable upon death). (Unlike all HMO plans) 13 TIR = 50% of 5x MBL, in lieu of life, for living expenses Why Purple Cow? Purple Cow 2012 Competitive Advantages
11. Total & Perm. Disability Income : Your TPDI benefit is in lieu of your Life benefit, payable if you are unable to work at all, due to sickness or accident. (Unlike all HMO plans) 14 TPDI = 5x MBL, in lieu of Life, for living expenses Why Purple Cow? Purple Cow 2012 Competitive Advantages